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Salem State College
352 Lafayette Street
Salem, MA 01970
978-542-6000
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Office for Students with Disabilities
Head Injury Documentation Guidelines
You must provide medical documentation of your specific disability in order
to verify accommodation eligibility under Section 504 of Rehabilitation
Act of 1973 and Americans with Disabilities Act of 1990. Documentation
needs to be current in order to reflect present functioning. Additional
documentation may be requested based upon the current status of the student
and his/her request(s). All documentation is confidential and is on file
at OSD.
You are responsible for making an appointment with an Accommodation
Specialist to discuss your documentation and eligibility for accommodations,
which are determined each semester. OSD will make the final determination
of eligibility for accommodations. OSD cannot review an accommodation
request until documentation is complete. Please contact OSD at 978-542-6217
if you have any questions.
Documentation must be from a qualified professional (e.g. medical doctor,
psychiatrist, psychologist, neurologist or licensed professional). The
medical report must be specific about the diagnosis and functional limitations
and signed by the professional making the diagnosis. If the disability
is progressive or if changes in severity occur that affect accommodations,
you must provide updated documentation to reflect the change in status.
Recommended documentation must include:
- A clear statement of diagnosis, and if it substantially limits on or more major life activity such as: walking, seeing, hearing,
learning, working.
- Date of diagnosis, including prognosis. Is the condition expected to improve over time or is it permanent?
- Statement of impact and limitations on academic performance in a university classroom. Include medical history related to current
use of medication and the impact on your ability to meet the demands of the academic program.
- If available, a summary of cognitive and achievement measures used and evaluation results including standardized scores or percentiles
used to make the diagnosis.
- Recommendations of reasonable accommodations that might be appropriate at the postsecondary level are encouraged. These recommendations should be supported by the diagnosis. Please note that Disability Services will make the final determination
of eligibility for accommodations.
- Name, address, phone number and title and/or credentials of the practitioner(s), signature and date.
If there are co-existing learning disabilities, further assessment by an appropriate professional may be required.
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